OBJECTIVES: Examine the effects of a 24-week exercise intervention against a social intervention on body weight, body mass index (BMI) and nutritional status in PWD living in nursing homes. DESIGN: Randomized controlled trial. PARTICIPANTS: Ninety-one older people with dementia living in nursing homes. INTERVENTIONS:Exercise (n=44) or social-based activities (n=47), taking place twice per week, for 60 minutes/session, during 24 weeks. MEASUREMENTS: Nutritional status was measured with the mini-nutritional assessment (MNA), weight and BMI. RESULTS: After the 24-week intervention, none of MNA (B-coeff. 1.28; 95% CI -2.55 to 0.02), weight (-0.06; -1.58 to 1.45) and BMI (-0.05; -0.85 to 0.74) differed significantly between groups after adjustment for multiplicity. In the social group, MNA significantly improved while it remained stable in the exercise group. The percentage of at-risk and malnourished patients reduced in both groups by more than 6%. CONCLUSION: The results suggest that social activities have as good effects as exercise activities on nutritional status in PWD nursing home residents.
RCT Entities:
OBJECTIVES: Examine the effects of a 24-week exercise intervention against a social intervention on body weight, body mass index (BMI) and nutritional status in PWD living in nursing homes. DESIGN: Randomized controlled trial. PARTICIPANTS: Ninety-one older people with dementia living in nursing homes. INTERVENTIONS: Exercise (n=44) or social-based activities (n=47), taking place twice per week, for 60 minutes/session, during 24 weeks. MEASUREMENTS: Nutritional status was measured with the mini-nutritional assessment (MNA), weight and BMI. RESULTS: After the 24-week intervention, none of MNA (B-coeff. 1.28; 95% CI -2.55 to 0.02), weight (-0.06; -1.58 to 1.45) and BMI (-0.05; -0.85 to 0.74) differed significantly between groups after adjustment for multiplicity. In the social group, MNA significantly improved while it remained stable in the exercise group. The percentage of at-risk and malnourished patients reduced in both groups by more than 6%. CONCLUSION: The results suggest that social activities have as good effects as exercise activities on nutritional status in PWD nursing home residents.
Entities:
Keywords:
Exercise; dementia; malnutrition; nursing home; social activities; weight
Authors: Philipe de Souto Barreto; John E Morley; Wojtek Chodzko-Zajko; Kaisu H Pitkala; Elizabeth Weening-Djiksterhuis; Leocadio Rodriguez-Mañas; Mario Barbagallo; Erik Rosendahl; Alan Sinclair; Francesco Landi; Mikel Izquierdo; Bruno Vellas; Yves Rolland Journal: J Am Med Dir Assoc Date: 2016-03-21 Impact factor: 4.669
Authors: Yves Rolland; Fabien Pillard; Adrian Klapouszczak; Emma Reynish; David Thomas; Sandrine Andrieu; Daniel Rivière; Bruno Vellas Journal: J Am Geriatr Soc Date: 2007-02 Impact factor: 5.562